Provider update: December 9, 2020

To:  ADvantage Case Management and State Plan Personal Care (SPPC) Home Care Providers

Subject:  Plan Validation Rules

Date:  December 9, 2020

The Harmony Plan Validation rules that have been turned off since our Harmony update on 4/5/2020 have been updated and will be turned back on tonight (12/9/2020) during the normal maintenance window.

Beginning 12/10/2020, all Case Managers/Case Manager Supervisors for ADvantage and Home Care Nurses for SPPC will need to run the plan validation prior to submitting the plan to MSU for review. If there is a plan validation error showing that the user believes is incorrect, they should include this information in a Plan Note to indicate they are aware of the validation error. MSU can then override the validation error as appropriate.

A Plan Validation Information folder has been added to the Library site. A list of all Plan Validation Errors along with some specific information about those errors is located in this folder and will be updated as needed.

Running the Plan Validation:

From the specific Member Plan select the “Plan Information” sub-tab
Then hover over “File” and select “Save and Validate Plan”

From there a pop-up message will appear with an option to view errors or advising there are no errors.

Please submit any questions regarding this information through the Provider Question chapter in Harmony. 

AGING SERVICES | MEDICAID SERVICES UNIT
ADvantage Administration | State Plan Personal Care
Office: 918-933-4900 | CareLine: 800-435-4711